& Friends Helping Friends. Thursday, October 23, 2014 Americana Conference Resort and Spa 8444 Lundy s Lane, Niagara Falls, ON.

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1 Brain Injury Association of Niagara & Friends Helping Friends Presents our 15th Biennial Conference: Brain Injury Across the Lifespan Introducing our Keynote Speakers Doug Smith Robert van Reekum Founder, NeuroFirst, Author of The Trauma Code, International Speaker Former NHL player Thursday, October 23, 2014 Americana Conference Resort and Spa 8444 Lundy s Lane, Niagara Falls, ON Special Thanks to our Sponsors: Thomson Rogers MD, FRCPC Assistant Professor, Dept. of Psychiatry, U. of Toronto, Associate Professor, Dept. of Psychology, Laval U., Author, of over 100 scientific articles. Gluckstein Personal Injury Lawyers Acquired Brain Injury Outreach Network Inc. Alert/Best Nursing & Home Care Anagram Premier/ResCare Premier Bayshore Home Health Daniel & Partners, LLP

2 WELCOME AND INTRODUCTION Host Brain Injury Association of Niagara and Friends Helping Friends welcome you to our 15th Biennial Conference Brain Injury Across the Lifespan. Our Target Audience: This conference will be of special interest to ABI Rehabilitation Professionals, Case Managers, Front-line Workers, Insurance and Legal Representatives, Advocates, and Persons living with the effects of an ABI, their Families and/or Caregivers. Our Conference Program: Includes both plenary and workshop sessions, featuring a variety of dynamic speakers presenting on a wide spectrum of topics pertaining to pediatric/adolescent; mid-life; elderly; quality of life, latest innovations in research, and relevant legal issues. Continuing Education Credits Delegates are encouraged to review self-assessment guidelines issued by their professional college/association for continuing education credits, or contact their professional college or association for future info. Keynote Presenter Doug Smith, Founder, NeuroFirst, Author of the Trauma Code & former NHL Player Performance, Recovery & the Brain An expert on performance and trauma, Doug Smith is leader on the issues surrounding brain injury, brain trauma, the process of brain recovery and the priorities and systems in our brain that fuel high performance. An accomplished author and speaker, Doug is a multiple brain injury survivor and survivor of a broken neck and spinal cord injury which ended his elevenyear professional hockey career at age 29. In his critically acclaimed book The Trauma Code, Doug reveals his compelling story of resilience, the science supporting neuroplasticity and the incredible solutions now available to all of us. Teaming with Family Physiotherapy Centres in Ottawa, Ontario, Doug opened the first Concussion and Brain Performance Centre in Ontario where he and his team provide thousands of 3D Spatial and Neurocognitive Baseline Assessments, cultivate brain awareness and help people get involved with the most powerful part of our anatomy. It is a presentation that can change your life. Keynote Presenter Robert van Reekum, MD,FRCPC Neurodevelopment, Aging, ABI and Mental Health Dr. van Reekum s talk will touch on: 1. Brain development over the lifespan. 2. Impact of ABI at different neurodevelopmental stages. 3. Some myths, and some truths, about aging. 4. ABI and mental health; some of the common problems experienced, and a suggested approach to organizing and implementing care to promote good mental health. 5. Preventing some of the most important (mental) health problems sometimes seen in elderly populations generally. Program at a Glance Conference Schedule Thursday October 23, 2014 Americana Conference Resort & Spa Grande Ballroom North 7:00 8:15 Registration & Continental Breakfast Hosted by Gluckstein Personal Injury Lawyers 8:25 8:45 Welcome & Opening Remarks 8:45 9:50 Keynote Presentation Performance, Recovery and the Brain Doug Smith, Founder, NeuroFirst, Author, International speaker & former NHL player Sponsored by Thomson, Rogers 9:55 10:55 Concurrent Sessions A 11:00 11:20 Refreshment Break View Exhibits and Networking 11:20 12:25 Keynote Presentation Neurodevelopment, Aging, ABI and Mental Health Robert van Reekum, MD, FRCPC Sponsored by Gluckstein Personal Injury Lawyers 12:25 1:45 Buffet Luncheon Grande Ballroom South Hosted by Thomson, Rogers 1:50 2:50 Concurrent Sessions B 2:50 3:50 Concurrent Sessions C 3:50 4:05 Refreshment Break View Exhibits and Networking 4:10 5:10 Concurrent Sessions D 5:15 5:30 Closing Remarks, Evaluations & Draws We gratefully acknowledge the generous support from: Platinum Sponsor Bronze Sponsors Gold Sponsor

3 CONCURRENT PRESENTATIONS Session A A1. The Role of Reciprocity Rick Bye, President, Roll with It Racing and Brian Donato, Director of Sports, CSIA Level IV, Hockley Valley Resort. Rick Bye will provide a short explanation of his life as a professional race driver, providing an overview of his crash, catastrophic brain injury and recovery. Then, he will touch on his life since getting back on his feet, and the path to meeting Brian Donato. Brian will share an overview of the events leading up to the life-changing events that resulted in his spinal cord injury, followed by a fairly detailed explanation of the Targa Newfoundland, (one of 3 internationally recognized Targa motorized events in the world). Brian Donato I needed some reason to get out of bed in the morning and something to fill the void I lost when skiing was no longer an option. Driving a race car was a dream I had but the realities were that it was too expensive and I had no idea what I was doing. Enter a chance meeting with Rick Bye, a professional driver. Driving a car makes me feel normal again. No one knows I am in a wheelchair. I feel constant pain 24 hours a day. It consumes me EXCEPT when I am driving. I forget all about my pain and my reality. It is a total escape. I love it! A2. Rehabilitating or Enabling: Coping with Behavioural and other Challenges Cheryl Hartridge, PhD, CPsych, Private Practice. A number of clients have behavioural and/or mental health challenges that prevent them from maximally benefiting from intervention; these issues include but are not limited to failing to follow through with treatment recommendations, chronically missing appointments, and engaging in high-risk behaviours including substance abuse. Rehabilitation teams then struggle with balancing continued provision of treatment with the risk of enabling self-limiting or self-destructive conduct. The speaker will provide concrete examples of such challenges as well as suggest strategies to manage these situations. Audience participation and/ or discussion encouraged. A3: The Duty of the Expert: Has Life Care Planning in Ontario changed? Carol Bierbrier, Founder, CBA (Carol Bierbrier & Associates), B.O.T.(C), OT Reg. (Ont.), CCRC Certified Life Care Planner. The presentation will look at the basic tenets of Life Care Planning (aka Future Care Costing) and will discuss the accepted process of formulating and quantifying recommendations with a focus on individuals with brain injury. The importance of preparing a defensible and supported plan from both the plaintiff and defence perspective will be studied. Concepts such as objectivity, reasonableness, and scope of practice will be examined in the context of relevant court decisions and their impact on Life Care Planning in Ontario. Session B B1. Determining Catastrophic Impairment for the new Statutory Accident Benefit Schedule David A. Payne and David R. Tenszen, Partners, Thomson, Rogers. There have been a number of changes to the definition of catastrophic impairment and important court decisions to the interpretation and approaches to determining if someone is catastrophically impaired. This presentation will provide you with a working knowledge of these changes and assist you in assessing if someone is catastrophically impaired. Session B cont d. B2. Fostering Resilience in Families of Teens with ABI Caron Gan, RN, MScN, AAMFT Clinical Fellow & Approved Supervisor, Family Therapist, Brain Injury Rehabilitation Team, Holland Bloorview Kids Rehabilitation Hospital. To date, there has been a preponderance of research on the heightened levels of distress and increased burden that families face after their child sustains an ABI. Despite the stresses and challenges that come with ABI, there are many families that cope well and become strengthened over time. Many families also experience post-traumatic growth but traditional practices in rehabilitation can limit people s ability to discover these possibilities in the families that we work with. This presentation will outline the limitations of the traditional medical/rehabilitation paradigm and the benefits of adopting a strength-based resilience approach to working with families of teens after ABI. Using modules from the empirically-based Brain Injury Family Intervention for Adolescents (BIFI-A), practical tips for incorporating resilience-based assessments and interventions into clinical practice will be highlighted. B3. Benefits of Enriched Environment Applications of Research Robin Green, PhD, CPsych, Canada Research Chair (II) & Senior Scientist, Toronto Rehab. Dr. Green s presentation will be based on one her central programs of research that addresses brain and behavioural mechanisms of recovery from TBI, in particular, impediments to recovery, and the importance of environmental enrichment, and her further exploration of the development of interventions to improve cognitive and neural recovery by offsetting deterioration, harnessing the neuroplastic potential of the brain, and the benefits of combining the use of enriched environments with other therapies. Session C C1. Binocular Vision Dysfunction: Relationship to Learning Disabilities & Concussion Patrick Quaid, Optometrist, FCOVD, PhD, Associate Clinical Professor, U. of Waterloo School of Optometry & Vision Science, Appointed Consultant Optometrist, University of Toronto School of Medicine (David L. McIntosh Sports Medicine Clinic, Faculty of Kinesiology & Physical Education, UoT), Director & CEO, Guelph Vision Therapy Centre (Collaborative Care Centre). Dr. Quaid will discuss clinical cases in addition to the presenter s personal experience going through therapy as a child and dealing with the consequences of missed binocular vision issues. The barriers to detecting binocular vision dysfunction will also be discussed and myths dispelled. Current peerreviewed research will be discussed and more importantly, how this research directly translates into clinical practice. Dr. Quaid has experience in the hospital eye care system, the academic ranks and most importantly in the private clinical arena and has clearly proven that his formula works in his own practice in Guelph, Ontario. How binocular vision dysfunction tends to present in reading-based learning disabilities in addition to concussion cases will be discussed and current peer reviewed evidence presented and critiqued. Dr. Quaid has recently also been appointed as the official Consultant Optometrist for the David L. MacIntosh Sports Medicine Clinic (official University of Toronto Rehabilitation Clinic for concussionrelated injuries headed up by Dr. Doug Richards MD). Dr. Quaid will also present interesting information linking poor ocular perfusion pressure (linked to low diastolic blood pressure) which may well be a factor in not only glaucoma, but also potentially dementia and Alzheimer s disease. This is a lecture you will NOT sleep through... As Dr. Quaid takes you on a journey of the visual system... Literally from cradle to grave.

4 CONCURRENT PRESENTATIONS Session D cont d. Session C cont d. C 2. Pediatric Concussion: Approaches to Clinical Management and Research Michelle Keightley, PhD, CPsych and Nick Reed, PhD, MScOT, OT Reg (Ont). Concussion, or mild Traumatic Brain Injury, is a common injury amongst children and youth that can result in a range of short- and long-term neurobehavioural deficits (somatic, cognitive, emotional, behavioural) and can have a significant impact on daily function and overall quality of life. Despite growing public interest and raised awareness of these injuries within the pediatric population, there remains a lack of standardized approaches to rehabilitation and supporting scientific evidence specific to how to optimally manage concussion in children and youth. Using a case study to provide context, this presentation will address how a concussion can be managed within the pediatric population including aspects such as rest, energy conservation, nutrition, sleep, relaxation and activity planning. Further, this presentation will highlight ongoing research conducted within the Concussion Research Centre at the Holland Bloorview Kids Rehabilitation Hospital designed to support the assessment and clinical management of concussion in children and youth. This presentation will act as a general overview of pediatric concussion clinical practices and will aim to promote interest and thought within this field of practice and research. C 3. Social Skills the Strongest Predictor of Employment Success: Now What Allison Nicolson, Manager, Community Services, Brain Injury Services. This presentation will report on a study completed by Brain Injury Services and McMaster University that explored the predictors of vocational success following an ABI. The presentation will be of interest to rehabilitation professionals who are assisting individuals with ABI to return to the work force. Attendees will be introduced to the Vocational Social Skills Checklist and the Predict, Perform, Evaluate method of teaching. Brain Injury Services program of giving back to the community through volunteering will also be described. Although there are organizations across Canada providing employment supports for the disabled, they typically focus on physical disabilities and do not address issues pertinent to ABI. Results of Brain Injury Services research about employment success and video clips of clients will also be presented. Session D D 1. New Regulations and Bill 171 turning Accident Benefits on its Head... Again! Charles Gluckstein, LLB, Gluckstein Personal Injury Lawyers. How to pursue justice if you can t sue for Accident Benefits which have been unjustifiably been denied. How to get insurers to get cases resolved when Pre-Judgement Interest rates are slashed. How come my case is in the MIG when I suffered a concussion? How to move cases quickly through the new Tribunal. What are your rights to recover attendant care benefits under the new Regulations? What else is going to change for accident victims in the near future? D 2. Lost in the Shuffle: Our Experiences Meeting the Needs of Older Adults Living with Brain Injury Sherrie Bieman- Copland, PhD, CPsych and Elena Ballantyne, PsyD. Brain Injury affects older adults differently than younger adults on a number of levels, which influences assessment, rehabilitation, and long-term functioning. D2. (cont d.) Unfortunately, brain injury in older adults is often under recognized and under treated, despite the fact that this cohort has the second highest incidence of TBI. In this presentation we will integrate recent research findings with clinical case studies so that you will learn: Why an older brain is more vulnerable in the face of traumatic brain injury Modifications that are needed to properly assess and provide rehabilitation to older adults What to expect in an older adult who has sustained moderate to severe brain injury years down the road. How dementia in a person with a brain injury may be unique. D 3. Part I Substance and Alcohol Use in adolescents with ABI Robert Mann, PhD, Senior Scientist, and Co-Head of Social and Community Interventions and Policy Research, Centre for Addiction and Mental Health. Adverse consequences of TBI that results in loss of consciousness or overnight hospitalization have been well documented. Currently, however, few data are available from large population samples on the substance use and abuse correlates of these injuries among adolescents. We describe data from an investigation of the relationships among TBI, substance use and substance abuse in a population sample of Canadian adolescents in grades 9 through 12. Data were derived from the Ontario Student Drug Use and Health Survey of students in grades 9 to 12. Brain Injury outcome variables were assessed using the survey questions. In total, 20.3% of the students reported a TBI in their lifetime. More than half of these injuries were acquired during group sports. These students were significantly more likely to report binge drinking (5+drinks in the past 4 wks.), 2.5 times more likely to report smoking one cigarette or more daily, 3 times more likely to consume illegal drugs and 2.6 times more likely to engage in non-medical use of prescription drugs, in the past 12 months than youth who did not report a brain injury. Part II Mental Health, Suicide, Bullying and other Behavioural Correlates of Traumatic Brain Injury among Ontario Adolescents Gabriela Ilie, PhD, Assistant Professor, U. of Toronto. Limited population-based data is available on the prevalence of adolescent TBI and its adverse correlates. Self-reported TBI among adolescents and its links with mental health, suicidality, bullying and other conduct behaviours are reported. Data were derived from 4,685 questionnaires administered to 7th and 12th graders as part of the 2011 Ontario Student Drug Use and Health Survey. In total, 19.5% of adolescents reported a TBI in their lifetime. When holding constant sex and grade, adolescents with TBI had significantly greater odds for reported elevated psychological distress (OR=1.52), attempting suicide (OR=3.39), seeking counselling through a crisis help line (OR=2.10), and being prescribed medication for anxiety, depression or both (OR-2.45). Moreover, adolescents with TBI had higher odds of being victimized through bullying at school (OR=1.70), being cyber-bullied (OR=2.05) or being threatened with a weapon at school (OR=2.90), compared with adolescents who never had a TBI. Adolescents with TBI had also higher odds of victimizing others and engaging in numerous violent and non-violent conduct behaviours. Significant associations between TBI and adverse internalizing and externalizing behaviours were found in this large population-based study of adolescents. Those who reported lifetime TBI were at a high risk for being prescribed medication for depression, anxiety or both, and also reporting more bullying and suicide in the past year than peers who never had a head injury. Primary physicians should be vigilant and screen for potential mental health and behavioural harms in adolescent patients with TBI. Efforts to prevent TBI during adolescence and intervene at an early stage may reduce injuries and co-morbid problems in this age group.

5 Delegate Registration Form (Please Print) Name: Position: Organization: Address: City: Postal Code: Bus. Phone Bus. Fax: Home Phone Conference Attendance Certificate required Yes No Concurrent Sessions (Check your choice for each session) Session A1 A2 A3 Session B1 B2 B3 Session C1 C2 Session D1 D2 C3 D3 Deadlines (check your registration options) Early Registration for professionals $250 *Postmarked by September 18, 2014 Late Registration for professionals $275 Family members and/or Caregivers $100 Survivors (ABI) $100 Your registration fee must accompany this form or the Registration will NOT be processed. BIAN reserves the right to restrict participation, and/or the right to adjust the program or cancel this conference due to insufficient registration or circumstances beyond our control. Register early! Space is Limited! Please mail your registration form along with your cheque, payable to Brain Injury Association of Niagara, to our Post Office Box mailing address: Brain Injury Association of Niagara P. O. Box 20019, Thorold, ON L2V 5B3 Delegates with Special Needs: For your convenience a limited number of handicap parking spaces have been reserved in the South parking lot. Please access the conference facility by the South entrance. Cancellation Policy: Refund of registration fees will be made less a $50 administration fee, with written notice postmarked by October 3, No refunds issued after this date, although delegate substitution is acceptable. No registrations will be accepted on the day of the conference. For more information contact: Pat Dracup, Program Dir. BRAIN INJURY ASSOCIATION OF NIAGARA Phone: Fax: Exhibit Space: Exhibitor spaces are available to agencies who wish to share information about their services, programs and/or products at the conference. Exhibitor fee includes 8 ft.-cloth covered table, one chair and one nontransferable exhibitor registration. Register early. Space is limited. Additional attendees pay the individual professional conference rate. Please check all that apply: Exhibitor registration display area and nontransferable registration for exhibitor $625 Electrical Outlet needed Yes No Additional cost of $20 to exhibitors for electrical outlet; Please supply your own extension cord. Exhibit set up/tear down time: 6:30 7:00 a.m.-october 23, Tear down 5:30 pm. To reserve exhibit space please complete and return no later than September 30, 2014, along with your cheque payable to: Brain Injury Association of Niagara Registration Forms: Additional registration forms can be downloaded from BIANs website at: Accommodation: Americana Conference Resort & Spa 8444 Lundy s Lane, Niagara Falls, ON For reservations call or Ask for block booking under Brain Injury Association of Niagara. Standard Room rate $79 plus applicable taxes, based on single or double occupancy (does NOT include Water Park). Directions from Toronto, Ontario: Take QEW Niagara to the Lundy s Lane/ Dorchester Road exit. (Exit 30B) Keep right off Exit 30B and follow to Montrose Rd. Turn left onto Montrose Rd. and follow to Lundy s Lane Turn right onto Lundy s Lane and follow to the Americana which is located on the left-hand side just past Kalar Road.

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